Study of ectopic pregnancy in a tertiary care centre

Abstract

Background: Ectopic pregnancy is an obstetric emergency with high morbidity and mortality. Incidence of ectopic pregnancies has been increasing in last two to three decades with reduction in mortality. The presenting symptoms include irregular vaginal bleeding. The present study was undertaken to study the clinical features of ectopic pregnancies in a tertiary care hospital.Methods: The present study on ectopic pregnancies was carried out in department of obstetrics and gynaecology, jhalawar medical college, Jhalawar, Rajasthan, India from January 2019 to October 2019. All patients admitted with diagnosis of ectopic pregnancy, either ruptured or unruptured where included in the study.Results: Total 52 patient of ectopic pregnancy were studies. Majority (63.46%) of patients belong to the age group 21-30 years. Ectopic pregnancy was most commonly noted in nulliparous woman (44.23%) Majority of the case (31%) had no risk factors among remaining (34.61%), previous MTP (17%), (17-30%) previous ectopic (9%) and PID (15-38%) were identified risk factors. Ampulla (75%) was the most common site for ectopic pregnancy. 57% of the cases were on the right side. The common presenting complaints were pain in abdomen (81%) bleeding/ spotting per vaginal (42%). There was no mortality.Conclusions: Surgical treatment was done more often because of patients reporting late to the hospital screening of high-risk case, early diagnosis and early intervention reduce the morbidity and mortality in ectopic pregnancies.

Analysis of Ectopic Pregnancy at Paropakar Maternity and Women’s Hospital

“…13,[15][16][17][19][20][21]23,28,29 The right side was more frequent than the left which was consistent with different other studies. 16,18,21,23,26,29 Our hospital being a tertiary level referral centre, 60.2% of the women had ruptured ectopic pregnancies which is comparable to most of the studies ranging from 56% to 91.5%. 4,13,17,19,21,26 Since most of the patients had ruptured ectopic pregnancy, they required emergency laparotomy and salpingectomy (81.8%) as life saving measures.…”

“…17 The majority of ectopic pregnancy cases occurred in 30 to 34 years age group (28.4%) which was similar to a study by Kaveri et al, 16 (31 to 35 years). However, other studies [17][18][19] found more of these cases in 20 to 30 years age group. In this study, more of ectopic pregnancy was seen in multiparous (65%) which is similar to various other studies.…”

“…In this study, bilateral tubal ligation and previous LSCS were 4.5% and 14.8% respectively which is comparable to studies by Mridula et al (6.4%, 12.8%), 19 Shanti et al (12.9%, 6.4%) 20 , Anita et al (10.9%, 26.02%) 13 and Bhawana et al (7.9%, 2.6%) 15 . Similarly, Niteshet al 18 had previous LSCS in 11.5% of their patients. In this study, subfertility was seen in 4.5% (1.1% IVF conception) which is similar to studies by Shanti et al (4.8%), 20 Shraddha et al (3.2%) 21 and Anita et al (2.7%) 13 , in contrary, it was higher in various other studies Tahmina et al (18.8%), 4 Rajita et al (18%) 8 and Ansa et al (22.2%).…”

“…In this study, ectopic pregnancy occurred in fallopian tubes, ampulla (71.6%) being the most common site followed by isthmus (6.8%), fimbria (2.3%) and cornua (1.1%) which is similar to other studies. 6,18,22,26 Similarly, ampullary part of the tube was commonly involved in most of the ectopic pregnancies in various other studies. 13,[15][16][17][19][20][21]23,28,29 The right side was more frequent than the left which was consistent with different other studies.…”

Comparison of outcome in medical versus expectant management in unruptured tubal pregnancy with β-hCG 1000-3000 IU/L

“…1 EP is an important cause of maternal mortality and morbidity in the 1 st trimester. 2 Incidence of EP varies from 1-2 per 100 pregnancies globally. 3 Delays in diagnosis and treatment can make EP an acute emergency.…”